Itâs time for the obligatory Lyme post.
Lyme disease has become an incredibly common illness and a simultaneously controversial subject. Almost everyone that I have encountered has some sort of experience with Lyme disease. âOh! My father [friend, cousin, uncle, cousinâs uncle, the girl at the coffee shop etc. etc. etc] had Lyme and it was really intense [not that bad, absolutely horrible, he/she is still sick etc. etc. etc.]â But there is a lot of confusing and misguided information going around about Lyme. The truth is very convoluted by perceptions and vested interests among doctors, insurance companies, pharmaceutical companies, the government and us, the patients and friends/family of patients.
I have what is called Chronic Lyme Disease, although the Center for Disease Control denies that Lyme disease can be a chronic illness. They do admit that some patients who receive 2-4 weeks of antibiotic treatment may still have persistent symptoms, but they call it Post Lyme Disease Syndrome (http://www.cdc.gov/lyme/postLDS/index.html). Whatever the CDC tells us, my case and countless other Lyme survivorsâ experiences show that if an infected bite is not treated within a few months, the disease may persist indefinitely. Some people have symptoms off and on for their entire lives.Â
Lyme disease is usually caused by a bite from an infected tick, but mosquitos, sand fleas, spiders and other insects can also carry Lyme. The disease is caused by spirochete bacteria called Borrelia burgdorferi. Many people are bit by nymphs (immature ticks) and never notice because the nymphs are so small and the bite is painless. 85% of people do not recall a tick bite and less than 70% develop a rash. Ticks can stay attached for many days without recognition and the longer they remain attached, the higher the risk of disease contraction. Once a person is infected, the Lyme bacteria travel through the bloodstream and then burrow into tissues. This can cause muscle tightness and deterioration of bodily tissues. It also explains why blood tests are so inaccurate since the bacteria can hide in tissues, as well as behind a biofilm that they create where they can evade even the strongest antibiotics. Lyme does not travel alone. Ticks infected with Lyme may also carry Babesiosis, Ehrlichia and/or Bartonella as well as many other pathogens.
Here is a good overview of Lyme for more info:
http://lymedisease.org/lyme101/lyme_disease/lyme_disease.htmlÂ
The first case was discovered in Old Lyme, Connecticut (hence the name) so there are many documented cases of Lyme and Chronic Lyme along the East coast of the US. Whether the number of cases represents an increased level of disease contraction or and increased level of awareness, I am not sure. But Lyme is now found all over the United States.
http://lymedisease.org/lyme101/lyme_disease/lyme_map.html
Even the great state of California is covered with Lyme infected ticks.
http://www.lymedisease.org/california/california_map.html
Lyme disease is known as the great imitator because it mimics many other diseases and some illnesses are really just symptoms of Lyme. Doctors often misdiagnose what is really Lyme disease as Fibromyalgia, Rheumatoid Arthritis, Chronic Fatigue Syndrome, Multiple Sclerosis, ADHD, Depression and more. Some doctors and scientists believe that even Alzheimerâs is related to Lyme. Of course, these facts are disputed among experts and scientists.
Here is a comprehensive list of symptoms:
http://www.lymediseaseassociation.org/images/NewDirectory/Resources/Lyme_Signs_Symptoms_FINAL%5B1%5D.pdfÂ
Diagnosis can be really hard because doctors often diagnose symptoms such as chronic fatigue instead of identifying Lyme is the root problem. Blood tests are shockingly inaccurate so that does not help the situation. The standard ELISA test used by most MD's is only accurate 50% of the time. You might as well flip a coin. The Western Blot is a better option but still not perfect. The best test to get is IGENIX. Lyme bugs move through tissues, not through blood, often causing muscle tension and pain as well as making the blood tests comically unhelpful. The best Lyme doctors treat based on symptoms, not test results.Â
If an infection is caught early enough, Lyme and its co-infections may be treated with a few weeks of antibiotics (a pretty easy and relatively harmless treatment as long as you know how to take antibiotics safely.) However, once an infection has existed in the body for a year or more without treatment, the lifelong journey begins.